conversations
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[
{
"from": "human",
"value": "Source: Patient: hi. yesterday i had a shooting pain in what i can guess is my womb. ever since, when i lightly push in that area, it really hurts. about a week ago, i woke up to a metalic taste in my mouth. in the past two weeks i have also had thrush. also, lately my breasts have been very tender, sore and i could swear they are getting bigger. i have a mirena fitted... is there any chance i could be pregnant? Doctor: Hello dear,I understand your concern.In my opinion that symptoms can be sideeffects of mirena or premenstrual symptoms.The hormonal contraception method is effective of all methods.So there is less chance of failure and pregnancy.But anyways if the period is missed I suggest you to do a urine pregnancy test one week after missing the period for accurate results.So avoid stress.Nothing to worry.Wait and check for the period.Best regards..."
},
{
"from": "gpt",
"value": "Target: Does lower abdominal pain and metallic taste in mouth indicate pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...ive got a really bad pain in my stomach . its in my lower stomach and my stomach is really blotted out . i can go toilet fine but the pain is still there and its starting to worry me as i have took 2 difene and the pain is still there . i dont know what the pain is or what i should do can u help? Doctor: helloIf I would be your treating doctor i would suggest you to go for Ultrasound abdomen to rule out the cause.TakeTab aarogya vardhini 1 tab twice a day before food.Triphala powder 1 tsp at bed time.As these are prescription medicine consult to local ayurveda specialist for general examination & than start with treatment."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lower abdominal pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I was wondering why my stomach hurts so bad daily? . Its a burning ,gawning, stabbing crampy pain, when I do eat I get even more nauseated than before. My family doc thinks its heartburn or acid, I was prescribed tecta for it but it doesnt help all the time. What else could it be? Pain feels like pulling up my ribcage in solarplexus area more on my upper right side and around my back. Help me please! Doctor: Hi your pain description does not fit into one particular diagnosis yes, burning and gnawing pain worsening with food can happen in acidity/ulcer problem it is unlikely to cause sharp or stabbing pain which usually suggests pain origin from abdominal wall. Its important to see which is exact sight of pain and how long it is there. You should get an endoscopy and ultra sonography to see the origin of problem and the decide on treatment some time it could be just dyspepsia or functional pain syndrome aggravated by anxiety hope this answers your query please do reply in case of any further questions wish you a speedy recovery"
},
{
"from": "gpt",
"value": "Target: Burning, stabbing pain in stomach, feel nauseated after eating. Prescribed tecta, not helpful. Heartburn?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi , I am Rajiv suffering for stomac issues since last 1 year .. Having test upper endroscopy 7 months back shows antral gastic and colonoscopy last month and no findings..still I am facing buring in left side and upper left abdominal pain all the day Doctor: hi,welcome to healthcare magic forum,again go for upper GI endoscopy ,it may be again antral gastritis and most common cause is for that is h-pylori infection.come back with the reports.good luck."
},
{
"from": "gpt",
"value": "Target: What is the treatment for abdominal pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I turned a certain way and felt a pop in my knee, I have been in a lot of pain since (this happened about a week ago). the pain is in the knee behind the knee cap and on the inside or maybe I should say the side closest to the other knee. I know I need to get it x rayed but can u give me an idea what this may be, thank you barry Doctor: Hello, As first-line management, you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persist better to consult an orthopaedic and plan for an MRI scan.We have to rule out possible causes like ligament sprain and tendon related problems. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What could cause pain in the knee behind the knee cap?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had an EKG done, and the Dr. told me to come in to the office for an evaluation. Apparently the flutters in my chest were my heart beating 80 BPM, then skyrocketing to 130 BPM the very vexy second.. I have an appointment in a couple of days, but this is very unsettling, what could be wrong? Doctor: there are basically two targets for a fib /fluter controla) rate controlb) rythm control initially amiodarone i.v 150mg is infused as a stat dose after that 60mg/hr amiodarone is given for 8hours follwed by 30mg/hr for next 16hours after which the patient is shifted to cordrone 200mg tablet twice dailya blood thinner should be admistered to avoid formation of thrombusacitrome 2mg should be given under strict pt/inr monitoring this was rythm control method usually followedfor rate control diltiazem,beta blockers can be givendc cardioversion is to be done in non responding patient only after doing a 2d echo to rule out any thrombus or clot"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for heart fluttering"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: after jarring my shoulder playing volleyball, my right nostril is constantly running, and this has been going on since May, and I also have a stiffness on the right side of my neck, and my clavicle doesn t feel right ( I have broken my clavicles before ),...... it doesn t feel like that. Doctor: Hi, As with the history it appears to me that running nose can be due to the dust infection. You need to get your blood routine get checked as sometimes infection goes on for longer and needs a medication. A pulmonologist will be helpful to examine and assess it. For the neck stiffness and clavicle old injury you need to get an x-ray done and MRI for the cervical spine. As due to the tightness in the Trapezius muscle there might be a chance of having deviation in the normal cervical curvature. Having it assessed by a sports Rehabilitation team which will include the orthopedist and a physiotherapist to help you. Usually due to Trapezius muscle spasm, there might be changes in the curvature of the spine and a change in the position of the intervertebral disc. Which might lead to some compression over the nerve root. It's never a mandatory that people might have symptoms of neuropathy but have small deviation and can lead to discomfort. With conservative management bike medication and exercise people respond well and having undergoing sports rehabilitation program helps them have a good outcome score in sports. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist"
},
{
"from": "gpt",
"value": "Target: What is wrong with my clavicles?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 16Yr Old Daughter Has Little Swollen Front Glands And Recently Small Sore Lumps Have Appeared On The Back ,Side Of Her Neck. Both Sides At Base Of Skull, And Urine Has Darkened.. Lumps Are Growing A Little . About 3-4Days Into These Symtoms.. Also Sore Tummy Left Side At Bottom Of Rib Cage Doctor: Hi, dearI have gone through your question. I can understand your concern. She has multiple enlarged lymphnode. It can be due to reactive hyperplasia, tuberculosis or lymphoma. Chances of reactive hyperplasia are more. She should take a course of antibiotics like azithromycin, amoxiclav or levofloxacin. If it doesn't respond to treatment then biopsy diagnosis is advisable. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for lumps on the neck"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have just had an ultrasound and it has been confirmed that i have a small pebble like lump in my testes. i have been told that this is not serious but i am still in pain, especially when having sexual intercourse. my question is will i have too live with this . Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description,you must be having what is called as an Epididymal cyst. This is the most common and harmless cause of swelling or lump in the testis. Usually, does not need treatment, unless it is very big. You can ask your surgeon to get it out, you don't have to live with it. Take care,Regards"
},
{
"from": "gpt",
"value": "Target: What causes lump in testis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a bumpy itchy rash that started on my forhead and has spread along the sides of my face, jawline and under my chin . I recently had gallbladder surgery (2 weeks ago) and am wondering if that could be causing it or what else it may be. Normally my skin is extremely smooth and I am complimented on how clear it is. Help please. Doctor: Hi bullwhip ! Are you sure it is not fungal infection or eczema. What seems to me is fungal infection. Take antiallergy cetrizine for itch, apply flungal cream, just apply don't rub. Take fluconazole tab at night in week thing will be normal. Take care. Bye."
},
{
"from": "gpt",
"value": "Target: Itchy rash on forehead, spread on sides of face, jawline, under chin. Gallbladder surgery done. Cure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mom has multiple myloma. Platelet counts keeps dropping. Doc is giving procrit injections to boost blood cell, but nothing additional for platelets. Anything out there effective for boosting platelets? She s currently getting 2 chemo injections per week & takes steriods Mondays thru Thursdays.Has taken revlamid in the past to boost counts & it worked, but side effects were bad bad bad. Doc discontinued revlamid becuase of that, but may start again (lower dose) soon because her counts are so low. Doctor: thrombopoeitin injection might help in boosting platelets but a number of injections is needed for this to take effect"
},
{
"from": "gpt",
"value": "Target: How to increase platelet counts while having multiple myeloma?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sometimes I get a weird flip flop feelingjust under my rib cage. It almost feels like a baby kicking but that's not possible and it's been happening for a few years. One doctor suggested it was mearly gas but I don't feel \"gassy\", no burping or passing gas. Any ideas ? Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Kicking feeling under rib cage can be due to arrhythmia (irregular heart rate). So better to consult cardiologist and get done 1. Clinical examination of heart 2. Ecg 3. 2d echo4. Holter monitoring (24 hour continuous monitoring of ecg).If all these are normal then no need to worry for arrhythmia or other heart diseases. Sometimes stress can also cause similar symptoms. So avoid stress and tension. Be relax and calm. Don't worry, you will be alright. But first rule out arrhythmia. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes kicking feeling under the rib cage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi... I got face injury last 2 months where in my left cheek bumped into concrete metal stairs handle. I got bruised, black eye and swelling in 1 week. I also feel headache only in the left portion of my head, and pain in my cheek. I already got a x-rayed , ct. scan and eye check which showed nothing. But my problem is until now I feel pain and numbness in my left cheek and half of my head and irritation in my left ear , especially when i feel tried. what I need to do? Doctor: please get a dental examination done. it could be referred pain from any fractured/traumatised tooth"
},
{
"from": "gpt",
"value": "Target: What causes pain and numbness in left cheek?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i am 28 yr old married, we are trying for kid, but during my monthly cycle i get bleeding only for first todays is this will be problem to consive & can u suggest some medication for the same, we are trying from last 8 months dr are saying everthing is fine only they have to work on harnon quality Doctor: Hi.Hormones are the most important, and so I would strongly recommend regularisation of your hormone levels before you start trying to conceive, mainly because if there are hormonal issues then even if conception takes place, the pregnancy can be high risk and even culminate in unfortunate circumstances, so please do work with your doctor to correct the same first.Best wishes."
},
{
"from": "gpt",
"value": "Target: Could scanty period be a cause of infertility?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my name is Tirta, i am from Indonesia. I search on internet and found your website. I have a problem that I don t know where to ask for help, i want to know what to do. My mother diagnose by the doctor that she has cancer in her liver, she has been in hospital for weeks and month but she is getting weak every day, she is diagnose with liver cancer because she vomit with blood and put in hospital because she is vomit with blood and she has dysentery ( poop with blood), not in the same time, that is the reason why she is now in the hospital. The doctor here doesn t do liver biopsy or cancer test on her, only USG (many times in many different hospital, why they don t use once that already taken?), CT-Scan (just the same, taken over and over), MRI , Endoscopy (they said that is something in my mother throat that need to be sheaf/bundle?(i don t know the term in medical specialty) if not it will broken and cause my mother to bleed again), or they just do a blood test . The medicine that the doctor give to my mother is : inpepsa, vit k3 injection, lasix injection, aldactone ( oral ), vomitas, cordaron (oral), panso (injection), prosogan (oral), pantozol, sandostatin, sulperazone injection, transamin 250 injection, propranolol 10mg(oral), ultracet (oral) trizedon MR (oral), ambroxol 30mg (oral), spirola (oral), baxter-clinimix (for infusion), etc (cause the doctor like to change the medication with out telling me what exactly is they doing). When my mother first enter the hospital her eyes not that yellow but now her eyes looks so yellow, her stomach now very big like she is pregnant again what is going on ? please tell me, did the doctor do a malpractice on my mother? please help me. I really want to know what is the step to do for liver-cancer treatment ? I don t know anything about liver or cancer or the treatment. What is the sign if the doctor do a malpractice on my mother? What is to be ask to the doctor if i want to know if the doctor is doing right treatment or wrong treatment? Please help me i need information from doctor in America that know about this illness other than the doctor here in Indonesia. Doctor: Hi, Welcome to health care magic forum, we would like to know what is mentioned on your mother usg and MRI reports, than only we can suggest you something, As you have mentioned that she is having yellow discoloration of eyes and abdominal distention, it shows that there is some severe problem related to liver but there are other complexities related to it, please mention what is in reports. For more info mail us at [email protected] or visit us at www.drkackerhomeopathy.com"
},
{
"from": "gpt",
"value": "Target: Steps to take for liver-cancer treatment"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,Im 17 and I play Football and Worm up Everyday..But When I mastrabute I Feel Weak My Legs pain and i can't run long distance..Even When I Worm Up or While Running Slowly My Legs pain..Should I Stop Mastrabuting?Even I Searched Google.I Found Many Answers,One must Stop Mastrabuting,And also it is responsible for inerection of pennis.Help Please! Doctor: Dear Patient, Do not worry. Masturbation is an innocent and harmless activity. According to an Australian research, it even reduces the risk of developing prostate cancer in men in older ages. However, If you are too much worried about masturbation that can increase you anxiety. I believe your weakness of legs and pain is due to your anxiety caused by unnecessarily worrying about masturbation. Stop worrying about it. Relax. It is an absolutely normal human response to their sexual feelings. However, If your masturbation is disturbing your daily activities like studies, sports just because you are addicted to it, then it is not good. If it is like an addiction, try to get rid of it by finding something more interesting to be engaged with. Try to make friends, read novels or engage in sports or music. Be positive. If you have more questions, please let me know.Good luck!Dr. Dinesh Nuwan Weerasinghe. MD"
},
{
"from": "gpt",
"value": "Target: Does masturbating cause weakness in legs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I have been on birth control for 4/5 months. At first everyrhing was ok but lately I ve been getting my period twice a month, in the middle of a pack and during the placebo week. I don t know what to do because my doctor is not giving me any attention I. Amt reach him. Doctor: HiDr. Purushottam welcomes you to HCM virtual clinic!I have carefully gone through your query, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.1. First of all do not panic.2. I am sure that you are not missing out on any of the pills. If you are having bleeding while on your birth control pills, you need to use other preparations with higher doses of estrogen and progesterone. 3. For the time being use Tab PAUSE MF as needed to control bleeding.4. If you are in the middle of the cycle and are having bleeding, then add Tab REGESTRONE 5mg 2 times a day till your 21 days of medicine tablets .I hope my answer helps you.Thanks.Wish you great health.Dr Purushottam S Neurgaonkar"
},
{
"from": "gpt",
"value": "Target: What causes delay in periods when on birth control pills?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, We are trying for a baby for last 1 yr. But as of now nothing positive. I had a history of endometriotic cyst. I had gone through an operation almost 9 yrs back. But last ultrasound in February showed everything is normal. I want to consult a gynaecologist in Bangalore. Could you please suggest a doctor. Doctor: Hi, Thanks for posting in HCM. I understand your concern. Trying to conceive for more than a year with reports indicating normal could be due to secondary infertility. Both male factor and female factor needs to be clinically evaluated along with the investigations to know what could be the cause for the delay in conceiving. You can consult Infertility specialist in this regard in any of the corporate hospitals or Infertility hospitals in Bangalore to get a proper check-up and management. Hope the information provided would be helpful. All the best."
},
{
"from": "gpt",
"value": "Target: Why am I unable to conceive?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband suffered a stroke in Oct 2016. In the beginning his attitude was bad, he cussed at the nurses and physically fought with them, when he was in a acute hospital the Dr gave him Ridlin it helped, then he was transferred to a skilled nurses rehab place. The Dr there gave him SEROQUEL, he is better but looks and is tired and the therapist say he is sleepy and I don t think he gets a good session. The state of Ca will no let them use RIDLIN. Help! he is coming home and I would like a better mood med. Judie Denney Doctor: Hi and thanks for question.many times we see that person with stroke will presented with behavior disturbance.it is mainly due to lost control over emotion and due to disorientation.so during that time sedative will give for treatment. u r very much anxious regarding how u controlled when he will come home.i suggest u to continue Seroquel.if he has leg pain along with he has salivation more than prior than consult psychiatrist near by u."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for tiredness while on Seroquel"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi.....I am currently having an itchy and reddish spots on my face. Last 4 nights. I applied katiales on my face because i heard its effective for pimples.Then, in the morning i woke up very dissapointed and i saw those affected area turns into reddish and itchy. It seems i had an allergic reactions using katiales, its been 4 days now still itchy and reddish. The reddish spots are so noticeable and im ashamed to go outside. Please help me with this. What should i do to subside faster and back my skin normal, what should i can use for treatment on this? Im so worried about this. Thanks a lot for the advice you can give.. Doctor: Hi, You could most probably suffering from an irritant reaction to harsh chemical. The treatment could be an oral drug or a topical drug. It could be decided only after knowing the severity of rash after proper clinical examination. I request you to stop all the over the medications and to consult your dermatologist for further management. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Siva Subramanian, Dermatologist"
},
{
"from": "gpt",
"value": "Target: How can itchy rashes on the face be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello.. my last period was 3rd august.. and I started my yasmin pill on 6th august.. on 7th august @ night I forgot to take so I took next morning.. and again I forgot to take on 11 august so I took 12th august morning.. after thn I took my pills regular but not on same time 2-3 hours late.. now I completed my pills.. today 5th day but still I did not get the period.. I took the pregnancy test. It came negative. . So am I pregnant.. what are the chances? Doctor: HI, thanks for using healthcare magicOral contraceptive pills such as yasmin are highly effective (99%) at preventing pregnancy when used appropriately.Women commonly forget to take the pill some days or make take it a little later than normal as happened with you.By taking the forgotten pill the next day along with the pill that was due for that day, you should still have been covered.If you had forgotten for 2 days straight then your contraceptive cover would not have been adequate.Pregnancy tests can normally detect pregnancy by day 11 to 14 after conception. If this time had passed when you took the test , it can be considered accurate.If this time has not passed you may want to either consider an early detection kit or a blood HCG level , these can detect lower levels of the pregnancy hormone ,HCG.You should rule out pregnancy before restarting the pills especially if your periods are normally regular.I hope this helps"
},
{
"from": "gpt",
"value": "Target: Started yasmin pill, infrequent consumption. Pregnancy test negative. Would I get pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello I have been catching infections over and over since my surgery in December where they removed my gallblader. I was put back in the hospital for 7 days after the surgery since then I keep getting infections white blood count is at 0000 and will not get normal. Doctor keeps trying different antibiotics and it last for 2 weeks then I'm sick again and off work for a week at a time or two. Doctor: Hi, Welcome to HCM, It seems that you might have some infective foci or some infection spreads in the blood. If there is local infection at the site of surgery, go for testing of pus for culture and sensitivity test. If there is suspected infection in the blood then go for blood culture and sensitivity test. After reports your doctor will prescribe specific antibiotic medicines for long period to clear the infection. Rule out diabetes. Ok and bye."
},
{
"from": "gpt",
"value": "Target: Have recurring infecting after gallbladder removal. Tried antibiotics. Suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Can severe neural forminal stenosis of the neck be cause from blunt trams to the head and neck I fell 4 years ago on head and neck had two surgeries onshoulder and have had severe headaches since fall just diagnosed with neural stenosis am only 50 years old 145 lbs 5.4 tall Doctor: Hello,Neural foraminal stenosis can be related to a trauma or to chronic degeneration of the cervical spine. Anyway, if the cervical collar does not help and you are continuously feeling difficulty walking, neck pain irradiating in your arms, I would recommend consulting with a spinal surgeon.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: What causes neural stenosis of the neck?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my age is 60 years...I am having weight loss and abdominal pain,..the doctor have confirmed that i have got renal cancer...i want to know what are the chances of my survival?? Doctor: Hi, Dont lose heart when you hear that you are suffering from cancer. Because one of the prime requirements for the successful treatment is the patient's optimistic mental approach along with medical/surgical treatment. Once you have been diagnosed to have renal cancer, your doctor would have done tests 1.to stage the cancer: whether it is confined to kidney or has spread beyond that. 2. your general health : whether you will be able to withstand the curative treatments. The prognosis ( survival and quality of life) depends on the stage of the disease and general health status to withstand the treatment. I will be able to give you a better idea if you can give the details of the reports of your tests."
},
{
"from": "gpt",
"value": "Target: I have got renal cancer, what are the chances of my survival ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my 7 yr old has painful lumps on his feet, on the side below his little toe and on the bridge. They appear bruised tonight although they have been there for months now. His ankle bone looks swollen too. What can we do please, he is in a lot of pain. Doctor: Thanks for your question on HCM. I can understand your son's situation and problem. Painful, multiple lumps on lower limb can be due to 1. Staphylococcal infection (cellulitis) 2. Allergic skin lesions 3. Connective tissue disease (CTD). So better to consult dermatologist and get done clinical examination and blood investigations like ANA level, hemoglobin estimation, total WBCs, serum IgE level etc to rule out above mentioned possible causes. First diagnose himself and then start appropriate treatment. Hope I have solved your query. Wishing good health to your son. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for painful lumps on feet"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: About 18 months ago I had an inner ear infection in my left ear, I had two lots of antibiotics and the ent specialist said I had damaged the ear canal , at the same time I had to have a filling in my top left side tooth this then developed into an infection and I had to have 2 root canals and a procedure at the hospital to try and get rid of the infection, during this time I started to develop pain in the left side of my face, head neck and left side base of my head, I am on painkillers constantly for this pain and I have undergone a course of physio, this has not worked and the physio has said he can not do anymore to help. Do u think a nerve in my gum from all the dental work could have caused this. Please advise I don t know what to do next. Thankyou. Doctor: dear friend thanks for sharing your concern. your history is suggestive of PULPITIS. if RCT is done successfully then there is no question of spreading infection further to ear or anywhere else. have you got your xray done? i would suggest you to go for a second opinion too along with your xray of treated tooth. also get an opg done to see the surrounding bone and tissues for any infection there. you can get an xray done for TMJ to see if any problem lies with that? your xray will suggest you the underlying cause and accordingly treatment can be planned. hope this helps. thanks."
},
{
"from": "gpt",
"value": "Target: Damaged ear canal after having multiple ear infections. Pain in the face after getting root canal procedure. Gum infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 14 month old has a bump on her labia. It started out looking like a mosquito bite and then had a yellow ulcer type look to it. Or similar if you scratch yourself and then ahve the film of yellow over it. (not a blister type) It doesnt seem to hurt her when I touch it or put vasealine on it during diaper change. It is now looking as if it is going to scap over. It doest apprear to itch either, like I said it doesnt bother her it seems. What could it be? Doctor: Hi...by what you quote I feel that it could, be a pyoderma or skin infection which is scabbing over. But skin conditions are best diagnosed after directly seeing them. I suggest wither you upload a photograph in this website or get the consultation of a pediatric dermatologist.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes a bump on labia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 4.5 yr old daughter has Ben suffering from fever, throat blisters, mouth sores for the last 4 days. It was diagnosed as tonsillitis on Sunday as she had throat sores. She developed sores on her inner cheeks and on tongue. She is on a cepodem and ibuprofen. Is this treatment effective? Doctor: Welcome to health care magic.treatment is accurate, no problem in that.sore in throat may be due to vitamin deficiency, add syp vitamino _z after dr prescription and gargling with water add pinch of salt, so that tonsil wiil get normal .if any further query dont hesitate to write.get well soonregardsdr amol langhi."
},
{
"from": "gpt",
"value": "Target: Are Cepodem and Ibuprofen effective in treating fever, throat blisters and mouth sores?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello..I am a 29 year old female...5ft2 100lbs..the past couple months I have been getting chest pains ans pain uner my right rib that some times goes to my back...sometimes the pains go to my left side as well..I have had ekgs..and a ultra sound..and blood work..blood work came back fine but bwilirubin Was 2.5 and US showed mild fatty liver what could be wrong with me ? Doctor: Hi, dear. I have gone through your question. I can understand your concern. You have fatty liver. It may be due to consumption of alcohol. You may have some taken some drugs or may have some inflammation in liver. You should go for complete liver function test. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What causes pain under right rib,elevated bilirubin and fatty liver?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife went to emergency room last Thursday morning after vomiting bile and nausea. They did a cat scan and gave fluids and pain relief medicine. She felt better. But she continues to be weak and pain in stomach. Is there a bad virus going around that needs more treatment? Doctor: Hello,Thanks for posting on HCM,In order to be able to assist you specifically, I would have loved to know exactly at what quadrant or level of the abdomen she is feeling the pain. Vomiting is the body’s way of ridding itself of harmful substances from the stomach, or it may be a reaction to something that has irritated the gut. If she has an associated vomiting of bile, then it could be as a result of one of several causes which could be:- Acute gastritis or peptic ulcer- GERD- Gastroenteritis: infection of the gut caused by bacteria or virus or fungus or amoeba- Bowel obstruction- Hiatus hernia etc.Now, a doctor should be able to examine her, run some tests and determine the cause of her abdominal pain which will enable proper medications to be provided. I suggest that you take her back to the ER for proper evaluation.Hope this helps"
},
{
"from": "gpt",
"value": "Target: Reason for continuous pain in the stomach?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi :) Over the last couple of years, I've been dealing with ongoing financial stress while running my own business. As much as I've been keeping a healthy eating regimen, I may at times drink too much coffee and take too much sugar. The last 2 weeks I've been feeling tired at odd times in the day, my wife says I'm redder than usual in the face and I do feel a little flushed sometimes too. I haven't been exercising enough, I'm 39. Could this be high blood pressure? Doctor: Hi,It could be caused by overtiredness abd stress, which may result to high blood pressure as well. I would advise you try to regulate your lifestyle, drink less coffee abd monitor your blood pressure for a week. Even if you have elevated blood pressure, normalization of your lifestyle gradually may bring it down.Take careCome back if you have any further questions"
},
{
"from": "gpt",
"value": "Target: What causes tiredness in the body?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, I am suffering from slip disc problem (L4-L5) for 3 months, due to which i have pain in my lower back and right leg. Taking medicines and also 2 epidural injections were given by the doctor. But i have no relief at all. So please suggest me what to do know. Thanks Doctor: Dear these these will not help you in the long run...your condition is getting worse.At this point the surgery is the last and better option .surgery is quite successful rate. Consult a well experienced neurologist .Hope you will get better."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for dislocated disc at L5 and L5"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was taking the isotretnoin tablets when I was 18 for Acne, after that I have been losing hair and even the hair texture has changed. No one in my family has hair loss problems (both mom and dad side).I went to a doc and he says it is MPT and had given minoxidil 5%, i have been using that for the last 7 months, hair still continues to fall , but I think the no of thin hairs falling now is less but when I shower I loose about 30-50 strands, is that normal? But i have lost hair in the temple for sure. Today I went to another doctor and he has given me finex( am very scared to use this after reading about the side effects on the net), folli hair, shampoo and a lotion. Please advice. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your case history of hairfall, my treatment advice is - 1. Use a good herbal hair oil and shampoo for routine use. 2. Apply a mild topical steroid lotion like Beclomethasone lotion once at night. 3. Take an iron supplement and vitamin b12 supplement once daily for 3 months. Thanks. Dr. Harshit bhachech. MBBS, DDVL."
},
{
"from": "gpt",
"value": "Target: Should i use 'finex' and 'folli hair' for controlling hair fall?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My knee locks . I have to straighten my leg to get it back working again. It s excruciating and happens almost daily after years of it progressively happening more and more often. Used to be a runner. Feels like something on the back right side (right knee) is getting hooked on something. Like a tendon, ligament, something, idk. Doctor: Hello, Consult an orthopedician and plan for an MRI scan. It is due to minor tendon or ligament involvement. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes locked knees?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I cleaned my 3 year old ear with a cotton bud earlier and she moved and the bud went into her ear. She cried and said it hurt and then her ear started to bleed. I cleaned it with a wipe and it appears to have stopped but was wondering if I need to take her to the doctors? She seems OK now and has gone to bed without complaining about the pain. Thanks Doctor: get her examined to rule out any ear or tympanic membrane injury. bud might have caused erosion or membrane perforation"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for bleeding ear in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi My 5 year old has had flu-like symptoms for almost five days now, two days ago he started having fever (up to 38.7 celsius) and is complaining of sore knees! He is also coughing! At first I thought it was a regular flu as myself, my husband and my other child have flu too but when he mentioned his knees I was really concerned! Doctor: HIWell come to HCMI really appreciate your concern, it is already five days gone so this may not be flu but chances of bacterial infection is very likely and this need to be ruled out now and for this better to get done the blood test and urine test and more important is not see the pediatrician, hope this helps, take care and have a nice day."
},
{
"from": "gpt",
"value": "Target: What are the possible treatments for flu?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I used depo before which made me bleed non stop for 6 months. I like depo because I don't have to remember to take it everyday and my opinion it really works as far as me not getting pregnant. I want to start depo again but I just don't want to bleed the same. I did some research and it say maca root helps to regulate hormones. Do you think maca root will help with the bleeding cause from depo? Doctor: depo provera acts by inhibiting ovulation. it decreasse levels of FSH & LH. Irregular and heavy bleeding due to it can be managed by ethinyl estradiol or conjugated estrogen for 7-21 days or low dose oc for 7-21 days.Maca is a natural herb which suuports natural body estrogen and progesterone. in my opinion, it can be tried for this purpose."
},
{
"from": "gpt",
"value": "Target: Had bleeding for months. Used depo. Can I continue?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my daughter is a 20 year old, sexually active, female who has confessed that she often does not use protection when engaging in sex. About one month ago she developed, I don t even know what to call it, but it looks like when we get an itchy rash and it gets a scab and it peels, witch leaves a permanent lighter color skn where the rash used to be. I have taken a look at it and that is the only way I can describe it. Myquestion is, what can this be? Doctor: Hi, It may be a candidly infection in groin areas and candidal vulvovaginitis. Consult the dermatologist for the perfect diagnosis and proper treatment. Give her Antifungal like Itroconazole cap for two weeks. Give her antihistamines like Cetirizine daily. Apply antifungal cream like Sertaconazole with antibiotic cream. Avoid contact with soap. Dettol may be used for cleansing the areas. Tell her to take protective measures while sex. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilyas Patel, Dermatologist"
},
{
"from": "gpt",
"value": "Target: Could the skin rashes near vagina be due to sexual activity?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a bad itching(fungal infection) in my groin & scrotum areas and after scratching the skin becomes red around these areas and also bulges. I am using Candid ointment with candid powder and also planning to take Avil 25...Does it help me?? I need an immediate relief..ThanksAge: 24, Height: 174 cm, Weight:75 kg,Sex: Male Doctor: Hi,From history it seems that there might be having super-added bacterial infection producing redness and bulging.Go for one antibiotic medicine course for 3-5 days.Go for one oral anti-fungal medicine course as well.Continue with Candid cream.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Will candid ointment cure fungal infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: If anxit-0.5 is taken without Dr. prescription, what will be the side effects? A diabetic BP patient of nearly 36 years is consuming this tablet for his sleeplessness means, may I know the side effects? How soon he would get those side effects if he starts consuming the same? Doctor: Hello, Anxit is a benzodiazepine. This medicine may be habit-forming and should be used only like doctor prescribed. You should take an appointment with your doctor because of side effects. Just for information some of the side effects are drowsiness, feeling tired, lack of balance or coordination, memory problems feeling anxious early in the morning. Consult with your doctor. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Blerina Pasho, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What will be the side effects of anxit?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi there, I am married for 2 years now. i have no child but trying to get one now. we had irregular intercourse because of work commitments . we both had ourselves examined and there is no problem found. the gynae suggested me to have Eve care, ovacare, amycordial and B long capsules fore 1 month. but the main problem is that after having these mediocines i suffer acute increase in the gastric problem. anything that i eat results in gas in the stomach ... what should i do???? Doctor: Hi thanks for your question your trying to convince and taking ovacare,amycorial and B long capsule. Thsese medicine upsets your stomach. There are two ways to avoid this side effects; No1,take the medicine after food and No 2,take a tablet of pantoprazole or Rantidine before taking these medicine. Hope this answers your question"
},
{
"from": "gpt",
"value": "Target: Trying to conceive, unprotected sex. Taking eve care, ovacare, gastric problems. Suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had sudden onset sharp left lower quadrant pain while doing yoga yesterday (abdomen stretched significantly) and today it is more of a burning pain that now had begun to radiate to my left upper back and shoulder. Could this be just a strain of the abdominal muscle since began during stretch of abdominal wall? Doctor: Hi, * Most likely overstretch of abs when doing stretching and exercises. * Rest, ice application and analgesic medicines are key factors to cure. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Can sharp pain in the left quadrant of the abdomen be a sign of a strained abdominal muscle?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 23 years old with a height of 5 feet 3 inches and a weight of 56 kg. My normal blood pressure is averagely 118/82 but sometimes there are instances that it reaches 155/92 even just after waking up with a feeling of headache and dizziness. Why is that so and is it normal? One more thing, my mother s side has a history of hypertension. Doctor: Hi,Regarding your concern, I would explain that elevation of blood pressure is common after physical activity. It is related to the activation of the sympathetic nervous system, causing a load of chatecholamines (adrenaline and noradrenaline) in your blood. This causes an increased heart rate and blood pressure. Anyway, isolated high blood pressure values are not indicative of high blood pressure. So, I would recommend you to closely monitor your blood pressure frequently during the day for a week (in sitting position after 10 minutes of total relax) and refer those values to your doctor. Some tips will help maintain normal blood pressure naturally: - reduce salt and caffeine intake- reduce smoking contacts- perform a lot of physical activity (walking, aerobics, etc.)Hope I have answered your query. Let me know if I can assist you further.Kind regards,Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: What causes BP variations, headaches and dizziness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hai my eggs are transfer on day 2 one with grade b have 2 cell and one have 4 cell grade c my doc said both are good quality..i am 28 my husband is 33 and we have icsi with ivf i am making less egg poor overies doc said..my eggs are transfer on june 16 i have cramping 2 to 4 days and breast pain..but yesterday night i have legs pain like i used to have whan my period start soon..m so worried..and also i feel my lower body like num last night..but now no pain at all..but i feel so tired...please can you help me thanks... Doctor: Hello. Thanks for writing to us. The symptoms you are having are likely to be due to mild uterine cramps and hormonal changes in your body. Since the eggs collected are of good quality, the chances of a successful pregnancy are there. Please do not worry and do take an adequate rest. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal [email protected]"
},
{
"from": "gpt",
"value": "Target: Done egg transfer. Have cramping, breast pain, leg pain, numbness in lower body. Can you help?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, My mother is 53 years old and has been complaining of gas for over 4 months now. Lately she has been burping a lot, suffer from nausea, back pain, legs & hand pain, burning sensation in chest, and mobile abdomen pain. Can you advise why she is facing these pain & uneasiness ? Doctor: HelloThank You for contacting HCM.Your mother appears to be suffering from Acid Peptic Disease. Drugs to be taken:1. capsule omeprazole 40 mg twice daily. 2. Tablet domperidone 10 mg half an hour before meal thrice daily.3. Antacid syrup containing magnesium and aluminium hydroxide 1 tablespoon half an hour before meal thrice daily.These medicines are to be taken for a duration of two weeks.Precautions to be taken:1. Avoid spicy and oily foods.2. restrict intake of tea, coffee and carbonated drinks.3. avoid alcohol, cigarettes and drugs like NSAIDs.4. Do not lie down or do strenous exercise for 30 minutes after meal.Contact hospital emergency in case of severe abdominal pain or worsening of symptoms.If the symptoms persists even after two weeks of treatment contact your local physician.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. Wishing you good health."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for gastritis and back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a 1 year old daughter she had started with viral and heavy cold.I had given her Timinic - 8 ml as required.Now in 2 days she had devloped with heavy cough and cold.please advice me the doses in the 1 year age for Wikoryl. if any other adviceable syurp pls suggest. Doctor: HiWhile Dimetapp liquid may be helpful it sounds like you should have a doctor look at her since she may need antibiotics for this"
},
{
"from": "gpt",
"value": "Target: Suggest medication for cough and cold in infants"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have an inflammed left side buttocks cheek, with an internal lump (not hard)...i tried hemorrhoidal creams but doesn't work... the internal lump has increased in size (golf ball, before it was the size of a small marble) over the past few days... the pain has subsided though... if i take acetaminophen & place neosporin , i get a couple of hours of relief... will this get healed over time? Doctor: Hi dear you may be on wrong treatment.-plz consult with Surgeon who would check it to decide if its boil on left butts cheek or internal piles? - by your self drugging it may not reduce - it may go worst and complication would occurIn my opinion mostly its boil of Lt buttock cheek, but piles , sentinel pile with fissure in another needs to be ruled out.Hope it gives reply to query on facts given by, though they were limited.Wellcome for further querry to Lybrates.Wishing you a fast recovery."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for an inflamed lump inside the buttocks"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello without medicine just i hv done my follicular study no follicles were found on 10 th and12 day before this i hv my follicular study in january 2012 without medicine that time follicles were there after that again in sept 2012 my follicular study was done by giving the medicine than follicles were there what is the reason Doctor: Hello Thanks for posting your Query. Follicles growth in your ovary goes with your regular periods. If you have irregular periods due to hormonal imbalance, you will not be producing follicle at all or at the least not every month. The fertility medications used commonly will make your periods regular and also helps in follicles growth by correcting your hormomonal imbalance. I hope I answered your query."
},
{
"from": "gpt",
"value": "Target: Had follicular study, follicles found. Now what?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Well I will just give you my systems.... This has been going ob for about 4 years getting much worse. I am very tired all the time. My body almost like in the muscles ache & throb like i have the flu. I cant sleep. Its getting to the point that it hard for me to get up and done. Mt knees hurt and pop even give out going up and down steps. My reflexes are 10 times stronger then a normal person. Some days it hurts to have my shirt rub against my arm or my pants to rub on my leg. I have gained 60 pounds in the past 3 years. Im tired to hurting. We my legs or body get cold like in a cold A/C room. outside in the winter. My back hurts just standing and doing dishes. I have lots of other systems as well. Doctor: Welcome to Healthcare Magic. Thanks for your query. The symptoms you have mentioned fit into a complex of low calcium in your body and bones. This causes increased irritability, increased reflexes, body weakness, limb weakness, disturbed sleep. It is advisable to get your Serum calcium and Vitamin D3 level tested to look for any deficiency. Avoid dehydration. Drink plenty of water. Eat fresh fruits and vegetables to avoid electrolyte imbalance. Sunlight exposure will help with use of prescribed medicated sunscreen to help increase calcium levels. Eat food rich in calcium like egg, cheese, butter, nuts, lean meat etc. Kindly consult your Doctor regarding calcium deficiency and also hormonal disorders like Hypothyroidism need to be ruled out. I hope I have answered your query. Thanking you. Regards, Dr. Aashish Raghu M. S. Orthopaedic Surgeon"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for body pains, weight increase and back pains"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am having a terrible chesty cough for two weeks. my nose is dry but I am coughing up green phlem constantly. the cough is driving me crazy as I can't sleep, don't feel like eating and my head hurts. I have drunk gallons of water and soup. do I have a chest infection? please help. Doctor: You could have a chest infection. It could be bronchitis or even pneumonia. It's also possible you have a sinus infection with the drainage going down into your chest and creating the chesty cough. Sometimes people can develop an asthma-like picture after a viral upper respiratory infection which is mostly coughing rather than wheezing. Most viral respiratory infections should clear up within 10 days or so. Since it's been 2 weeks and not getting better, you should consider seeing your doctor and get examined for these possibilities. Appropriate treatment can then be selected- at least a cough suppressant to help with your symptoms, if nothing else. Hope this helps."
},
{
"from": "gpt",
"value": "Target: Does chesty cough with green phlegm indicate chest infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dr.Chetna Jain I am Mary of 28 years I was diagnosed with PCOD and later undergone Laproscopy & Hysteroscopy . then from Month of March, April and May i undergone IUI but without luck. Now i am on Clomid 50 mg and my gynec suggested again for IUI. what are my chances of getting pregnant. will i be pregnant atleast once in my life time? Doctor: Hello. Thanks for writing to us. The chances of conceiving after every cycle of IUI vary between 25-30%. Since you have had only three unsuccessful cycles of IUI, there is nothing to feel disheartened. You have to be patient and try again. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal [email protected]"
},
{
"from": "gpt",
"value": "Target: Trying to conceive, PCOD, on clomid, advised IUI. Had laparoscopy, hysteroscopy and IUI but in vain. Will I ever get pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have liver disease from hep c and suffer chronic back and body pain due to birth and accidents plus many beatings so was on centennial patches for about 3 yrs then I Moved from Iowa to California and had to detox now this Dr gave me consenting scared to take!? Doctor: Hi, There is no need to be scared, this drug is safe and you should take it. There may be mild side effects like gastric pain but it is tolerable. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: What is the remedy for body pain with liver disease?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i had an mri yesterday and have been told that i have a major cervical impingment. started with what I thought was a pinched nerve under my left shoulder blade. Pain radiated down my left arm spasms of pain on the outside of my left hand. Now that area is just numb along with several fingers to the outside of my hand. Doctor: Hi you have cervical impingement on one of the nerves with numbness and pain (L) upper limb. With symptoms that you have described I would diagnose it as C6 radiculopathy( Pressure on C6 nerve root). My Prescription would read - Pain killers , Muscle relaxants and Physiotherapy. It might take 2-3 weeks for good relief."
},
{
"from": "gpt",
"value": "Target: Have pain in the shoulder which radiates the whole arm and numbness in fingers?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have very bad hives/allergic reaction to face, lips, neck, arms and legs. Not trunk. Skin specialist says I have been in contact with something \"go home and think about what\". Homeopath lists many allergies. Am presently following a liver cleansing programme. Now leaning more towards contact because of areas. What do you think? Doctor: Hi, thanks for the query to H. C. M.C. Urticaria (hives) is an allergic disorder in which there is rashes formation over various prats of the body, mostly over face, peripheral part of hands &legs, over abdomen. Please get a blood examination to rule out eiosinophilia. Stool examination to rule out worm infestation. Urine examination for pus cells. Please have a treatment of disorders according to tests. Consult a physician and take full course of anti worms. Good luck. Dr. HET"
},
{
"from": "gpt",
"value": "Target: Allergic reaction on face, arms and legs. Following liver cleansing programme. What do you think?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,My wife is diagnosed with 3 gallstones in her gallbladder. 2 gallstones are of 4mm(millimeter) size and the 3rd one is of 8mm size. The doctor who diagnosed the scan report, says that the stones are at the neck of the gall bladder.If the stone moves out of the gallbladder and blocks the bile duct, it will lead to severe pain and jaundice.The doctor suggested removing the gallbladder laproscopically...While I understand what the doctor said is right, I am still confused whether to go ahead with the surgery or not. My wife does not have any pain right now nor have felt any pain in the past in the abdomen or stomach or right side of the chest (below the ribcage) and no vomiting feeling. She does have heartburn (acidity) problems often which get well when takes antacid or pantaprazole... My wife also had a c-section surgery before 7 months during her pregnancy. Is it really good to remove the gallbladder with the current situation.. I am confused... please guide me... and let me know the post surgical risks if any....Thanks,Kasi Doctor: HelloThanks for writing to HCMYes,your doctor has given the right advice.you should follow your doctor's advice.Treatment Option is surgical removal.By laproscopic method,recovery period is less and now a days it is widely practiced.If you don't remove it ,it may get suddenly obstructed and may lead to emergency and immediate hospitalization.So,better get rid of it.Gall bladder calculus can be cancerous if it is kept for long time.Get well soon.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: Multiple stones in gallbladder, suggested laproscopic removal. Heartburn. No pain or vomiting. Any risk from surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 29 years old... I am a full time mother of 3. Daughter 8 Daughter 4 Son 8 months I m usually the only parent in house & has been like this since 1st was born due 2 father working away! I know it s natural as a mother to feel tired and stressed. But I can go from being happy to extremely down in matter of seconds. I don t like socialising much, yet being in the house all the time drives me crazy, but in saying that I d rather stay home. I get as much sleep as I can some nights are better then others. I stress a lot about everything & anything & seem to lash out (definately not physically) at my 2 daughters a lot even if they are not doing anything wrong. I cry a lot & always have the urge to yell as I find it really hard to control my temper. When kids father comes home majority of the time I m unhappy with him with everything & anything he does even though he trying to help me! I feel like I want to just be away from everyone especially the ones I m taking my moods out on as I know they don t like me for it! I feel exhausted all the time, it s hard for me to feel happy or to control any situation without getting really cranky or upset. I love my kids my family but each day feels like another battle & most nights I lay in bed awake upset dreading waking up in the morning to face the world all over again! Doctor: Hi,I read your problem in detail and can understand the situation that you seem to be going through. Your stressful conditions certainly seems to have an effect on you which are resulting in the symptoms that you are having currently. You seem to be suffering from depression. It is a condition characterized by low mood, irritability, tiredness, crying spells, sleep and appetite disturbances. I would suggest that you seek a psychiatric consultation and complete evaluation and proper management. Medications like selective serotonin reuptake inhibitors like escitalopram and sertraline, etc are safe and effective. in addition, try to exercise on a daily basis. You can also start regular therapy sessions with your psychiatrist, where you will be able to express your emotions and let out whats building up inside you at ease.Hope this information was helpful. Best wishes."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for stress and tiredness"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor... one of my relative is suffering from testicular cancer as some of the doctors said.. which is the best place to ger it treated... ? is there any side effects after its treatment? And also is there chances of having tis type of cancer again? Doctor: Hi,Thanks for writing in.It is important to know what tumor your relative is having and the stage of cancer. Most testicular tumors are of a group known as seminoma and this is the most widely occurring tumor. Seminoma has a good cure rate if detected early and this shows good response to treatment in patients.There is another group of testicular tumors known as non seminomatous germ cell tumors and this group has many sub tumor types. They tend to be more aggressive than seminomas and invasion is common.The prognosis of non-seminomatous germ cell tumors is variable and depends on the biological behaviour of individual tumors. Prognosis can be inferred from tumor markers, location of the primary tumor and of course presence of metastases. Treatment at any cancer research institute is recommended depending on his location. Please do not worry."
},
{
"from": "gpt",
"value": "Target: What are the side effects after having a testicular cancer treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: helo doctor i did follicular study on my 9 th day the result is right ovary- small, left ovary-11 and ET -6.7 and no fluid on my 11 th day the result is right ovary- small, left ovary-11 and ET -7.2 and no fluid what does this mean.i have pcod iam trying for 2nd child.i been married for 5 yrs and have a kid of 4 yrs. Doctor: Hi,It is difficult to comment on above findings. I cannot comment on your ovaries & I think I can interpret it better if I know the exact dimensions of the ovary. Endometrial thickness ( ET) is normal. I suggest you to attach your exact report if you need a complete interpretation. If you want to attach your report please contact me personally at following link & upload your report: http://www.healthcaremagic.com/doctors/dr-kulsoom-qureshi/63167 or e-mail me at:[email protected] Regards."
},
{
"from": "gpt",
"value": "Target: Small ovary, pcod, trying to conceive"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My dentist last March 7 did a cut on my both gums because my gums overlapped on my molar. I have my braces adjusted too last week. The cutted gums started to become whitish the day after the minor surgery. My gums also swell and mouth sores started to appear on both cheeks. Gargled bactidol, started to take antibiotic too the day after. My palate last March 9 up to now started to hurt. My palate this morning hot little white spots. I really can t take it! Gargled bactidol again this morning. Please help me. The gums that we re cut still hurts. They are now color white and swollen. Doctor: Hello, I am Dr.Neha Gupta (dentist) and am glad to address to your query here. There is possibility of gingival hyperplasia in the posterior area could be because of any infection in the teeth or gum of the last molar , if it is wisdom teeth then it could be pericoronitis , or cheek bite because of sharp cusps can lead to this condition. I would advice you to keep the area clean as any irritant or foodlodgment in the area may lead to swelling of gums . So see your dentist to know the exact cause of the discomfort caused by swollen gum. Take care and please keep me informed of your progress at healthcaremagic through my profile directly. Regards"
},
{
"from": "gpt",
"value": "Target: Gums overlapped molar, swelling, soreness, had white spots. What is wrong?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my husband had a bad fall yesterday in the bathroom he hit d floor with his lower back in a sitting like position and a bit supine like position. he went to look for a doctor and had an xray. he had a history of slip disc. he was complaining yesterday bout his lower back aching. i want to ask, is it possible that xrays could not detect slip disc and fracture of d bones when indeed he had a bad fall? pls reply. thank you very much. Doctor: Hi,Welcome to healthcare magic. After going through your query I think your husband is suffering from muscular pain due to injury. Treatment of it is rest and analgesics (diclofenac three times a day after meals). It may take a week time to relief. It is possible that x rays could not detect slip disc and minor fracture of the bones .Indeed slip disc is not seen in x-rays. However you can get his MRI done to detect these .I think your query answered.Welcome to any follow up query."
},
{
"from": "gpt",
"value": "Target: How to treat back ache due to falling?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 33 year old man. I have had acne since I was 12. It goes mild sometimes for years, and then comes back more aggressive. I ve seen numerous dermatologists, been on everything except accutane. They said my liver test suggested accutane being a bad choice. I was 19 at that point. At this point in life, 33, I have had Ulcerative Colitis for 4 years. It seems to come and go with my Acne. More aggressive each time. What is going on with me? Doctor: ulcerative colitis is not a disease of intestine only. it is an autoimmune disease, hence has impact on whole body, a good suggestion is to take curd with turmeric daily.. just try this for few months. better not to take accutane now as u hv a gastro problem."
},
{
"from": "gpt",
"value": "Target: History of acne. Have ulcerative colitis. What is going on?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had surgery on my large toe (excisional biopsy) seven days ago. The doctor prescribed Dolo tablets for pain after I left the hospital. I see that Dolo tablets are merely paracetamol. Is there a stronger painkiller that doesn't have bad side effects? My pain is severe. Thank you. Doctor: Hi,I suggest you try a non-steroidal anti-inflammatory such as diclofenac or ibuprofen. These are particularly helpful for pain after foot surgery. You should read the information that comes with these tablets as there are certain conditions which exclude their use such as asthma and peptic ulcer disease.Regards,Dr K A Pottinger"
},
{
"from": "gpt",
"value": "Target: Suggest a strong painkiller with no side effects for pain relief"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve had lower abdominal pain with low-grade fever for 3 days. Loss of appetite . No pain or burning with urination ....but pain in my rectum and lower bowels when I sit down. Also pain in right hip when standing and walking which radiates down leg. Recently had an acute kidney infection, but the kidney seems to be functioning fine now. Not constipated. Could it be a virus of some sort? Doctor: Hi. Your symptom complex is a bit non-specific. Nevertheless the most important point you have mentioned is about acute kidney infection - But what was the exact diagnosis of kidney infection? Your present symptoms may be an aftermath of kidney infection."
},
{
"from": "gpt",
"value": "Target: Lower abdominal pain, mild fever, loss of appetite, acute kidney infection. Virus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Last week Tuesday my upper back was in spasm. I then rested it and took muscle relaxant medicine to combat the pain. On this Tuesday the pain dissapated but the pain has re emerged today. Could it just be the spasm taking little bit longer to heal? What should take to combat ths? Doctor: yes it must be spasm which will take a longer while to heal. you can do hot water bag with exercises like bridging, cat and camel , corpse position to stretch and strenghten your back. plz continue medication and excersies twice a day to get relieved ASAP"
},
{
"from": "gpt",
"value": "Target: What is the treatment for back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor , I had a surgery of hysterolaparoscopy on 31/jan/2011 n i got ma periods on 2/02/2011 n again in the same month i got periods on 15/02/2011 n i z waiting to get pregnant but on 26/03/2011 i got periods..... how long i have to wait to get pregnant???? Doctor: hI; Welcome to healthcare magic; You have not mention your hysterolaparoscopy report;assuming your reports are normal you can wait for around 6 months to get pregnant. Thanks"
},
{
"from": "gpt",
"value": "Target: How long I have to wait to get pregnant after the surgery of hysterolaparoscopy ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have had a hard lump just under my left bottom cheek for several years, it was dark brown in colour, firm to to touch but not painful. When i sat down on it however it was excruciating. In the last few years the pain has gone so i haven t worried about it anymore but today i noticed the skin there is softening and becoming concave. I can feel a dip if i run my fingers over it. Do you know what this could be? Doctor: Hi, dear. I have gone through your question. I can understand your concern. You may have some salivary gland lesion like tumour or infection. Or may have lymphnode enlargement due to some reactive hyperplasia or tuberculosis. You should go for fine needle aspiration cytology to diagnose the cause. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What causes a painful hard lump at left bottom cheek?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I Have this rash on my stomach its mostly righ above and around my belly button. I thought I mite have got scabies because my boyfriend caught it from work And I know it every contagious but I went into walkin clinic and the doctor there told me it wasnt it was just some bacterial affection and that scabies wont be on the stomach and just gave me hidiclens but it keeps spreading up and around my stomach so my question is do you think I should have another doctor look at it and can scabies be on the stomach? Doctor: Hi, I too think that it is not scabies. Perhaps it is a fungal infection. A fungal infection extends outwards and is dry, scaly as well itchy with a red patch. Body folds like axilla, groin, umbilicus are common sites for a fungal infection as moisture, occlusion and warmth favor growth of the fungus. I suggest you try an OTC topical antifungal e.g Clotrimazole 1% cream or Ketoconazole 2% cream or Miconazole Nitrate 2% cream, twice daily for a few days. In addition, I suggest you take an oral antihistamine e.g Tab Cetirizine once a day for symptomatic relief from itching. Hope I have answered your query. Let me know if you need any more assistance."
},
{
"from": "gpt",
"value": "Target: What causes a rash on the stomach?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i had my wisdom teeth removed a week ago, my mouth swelled to the size of a tennis ball so i went back to the dentist 3 days later and got antibiotics to help the swelling, now there is pus coming out from where my bottom wisdom tooth was removed and a hard tender spot of my cheek where if u press it very painful and forces pus out of the area where my wisdom tooth was, is this normal and what do i do about it, thanks Doctor: HiThank you for your query with HCM,as such when your wisdom tooth was removed one cannot expect pus discharge from the socket since everything will be curretted after extraction if there is an periapical infection.As you describe that there is tender spot on chhek there might infection on the gums /soft tissue.Nothing to worry about since you are already on antibioticsI would suggest you to visit your Oral Surgeon for need ful and thorough examination.Hope i have answered your query."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pus formation at tooth extraction site"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my boy friend just pee n there was little blood in his pee what do that means no we didn't just have sex it been days it just happen out of no were Doctor: 1. blood in urine (hematuria) means there is problem in the urinary tract, which has allowed blood to get pass into urine. 2. a number of condition can lead to this passage including: .Urinary Tract Infection, Kidney Infection (pyelo nephritis), bladder (cystits) or kidney stone, enlarged prostate, Strenous exercises. 3. you have not mentioned about any associated feature along with blood in urine that whether it was painful or painless, or was there pain and burning during micturation and odor of the urine? 4. Younger men are more prone to kidney stone or hereditary nephritis (Alprot's syndrome). 5. make an appointment with your doctor regarding Urine examination and Ultrasound Abdomen 6. as him to drink plenty of water, amla, pomegranate, drum stick,bitter gourd,green banana. 7. treatment directed will be to the underlying cause, so check with your Physician."
},
{
"from": "gpt",
"value": "Target: When he pee it started to bleed, please suggest"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I found a firm lump on the inside of the penis near the base . Very little discomfort but annoying during erection. Over the last several months it hasn t gone away, but has gotten longer and is about half an inch wide. Still no big discomfort, however now when I have an erection the penis curves upward and doesn t achieve full length due to the lump. Very annoying during sex. At first, from reading on the internet I thought it might be lymphangiosclerosis. However this has lasted quite some time without going away or getting smaller. I am worried it might be something more. What should I do? Doctor: It might be due filariasis or any malignant conditions of the penis.you have to consult surgeon for the same or post some photographs of the lump with penis and age of yours.both of these diseases are serious and take medical attention as soon as possible."
},
{
"from": "gpt",
"value": "Target: What causes growing lump at base of penis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doctors , am 27 year old i have spine tb in the lumbard region at from d9 to d11 at L5 .cold abcess has been Removed taking streptomycin and akt from 30 days not even visiting wash room completely lying in the bed i feel numbness in the leg please let me when i can walk motor control were NORMAL at the time of presentation no deficit .please tell me how many more days i need to be in bed taking 650 mg akt and 2000 mg in total Doctor: Hw ws d cold absess removed ? Surgically ? If no then if ur neuropathy reduces then ull take 3 to 4 mnths to walk normally slowly and graduallyor else ull need decmpression.."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for spine TB in lumbard region at D9 to D11 at L5"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My baby 3 weeks old has sticky saliva making her gauge cough and trouble breathing she is breast fed no temp blood pressure good hospitals poor service still no dr to see her she has a few small thrush dots in her mouth feeding, pooing as normal I can't lay her on her back or she gauges coughs then chokes Doctor: Hi dear,I understand your concern. For nose hygiene I suggest Nasoclear 2 drops thrice a day,paediatric drops 2 times. Wash mouth with soda water."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for gag cough and breathing trouble due to sticky saliva in infant"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son (16) is a cross country runner and he is struggling with his legs getting heavy and going numb during a run. He is conditioned with 400 miles this summer. His at rest heart rate at rest is 64. When trying to run a 8 minute mile (pretty slow for him) - he cannot even run a mile without this occurring...his heart rate goes to about 160-170 then his legs start hurting? Any ideas...his trainer and doctor are pretty stumped. This does not happen when he sprints (HR 130) or runs stadium steps (HR 130). Doctor: hello,I have gone through your query.Thanks for using HCM.Actually he has got exaggerated chronotropic response to exercise.He should be investigated by ECG,Echo and exercise treadmill test.If needed he should get doppler examination of peripheral vessels of lower limb,My best wishesDr.Rajesh Teli,MD."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for rapid heart rate and leg pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I wonder if I might be pregnant. I have been on the pill for about 6 years. I came off the cerelle pill after being on that one for about a year or two - 3rd February was my first pill free day. While I was on the cerelle I didn t have any periods. I had unprotected sex with my partner about 3 or 4 times within three weeks. We have now decided we are not quite financially ready for a baby, and will go back to having protected sex. I have had backache, headaches, bloated stomach, spotting, fluttery tummy. I did a pregnancy test (first response) this morning (24th February - 3 weeks after coming off the pill) which came back negative. But I don t know if I did it too early as I don t know when I should expect my period. 1. how soon should I expect to get my period after coming off the cerelle pill? 2. is there a change I might be pregnant, even though the test came back negative? Doctor: Hello,Thanks for writing to us.Most women get their period within 4 weeks after stopping Cerelle pill. You have quite chance of being pregnant as you involved in unprotected sex on pill free days.It is too early too confirm pregnancy. I suggest you to repeat the test after 1 week (i.e 4 weeks after pill free days). Blood test for beta-hCG is more reliable in your case.In absence of pregnancy, other reasons of late period are PCOD, ovarian cyst, hypothyroid state, over weight/ extreme loss, extra mental stress or anxiety, emotional upset, eating disorder, high prolactin.Here, I suggest you to undergo complete hormone profile (LH/ FSH, serum prolactin, progesterone, thyroid, DHEAS, testosterone etc) and pelvic ultrasound scan.Review with test results or you can consult with local gynecologist. You may require hormonal pill to induce period.Maintain genital hygiene, control body weight. Good luck."
},
{
"from": "gpt",
"value": "Target: What are the early signs and symptoms of pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I recently went through chemo and radiation for squamous cell carcinoma on the base of my tongue. Treatment ended in November, 2012. My recent CT scan in January showed all clear, although I go for a Pet fusion in May. I have had my Peg tube and Port taken out. I recently had some lab work and it showed the following: Leukocyte Esterase 2+ WBC 6-10 Squamous Epithelial Cells 10-20 White Blood Cell Count 3.6 Urine - cloudy These are the only ones out of range. When I saw the abnormal range on the Squamous Epithelial Cells, I am concerned and wonder if it has anything to do with my recent cancer, is it coming back?? What are your thoughts? Doctor: Hi and welcome to HCM. This has absolutely nothing with your cancer! It means that urine was contaminated by cells from your skin around genitals,and nothing else. Squamous cells are found on skin and somme mucous membrane. This is usualy finding in urine if it is inadequatly taken. You have raised wbc which can mean some urinary infection but urinoculture should be done too to confirm that. Wish you good health."
},
{
"from": "gpt",
"value": "Target: Have squamous cell carcinoma on tongue. Done radiation. Report showed abnormal squamous epithelial cells. Help"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello I. 23 years old I ve never had a yeast infection until about 3 year ago I got one and since then they continue to rescuer after a week of being treated. I have no sex life with my husband no because of the pain. Around that time I was diagnosed with hep. C from drug use. I ve been clean now for 2 years now. I ve went to the doctor about it over and over again. And they seem to have no answers for me. Seems to me since being diagnosed with this and them knowing of my past drug use most doctors don t treat me as well as they use to even tho I ve been clean. I feel helpless and I m falling in to depression. I need help Doctor: Hello,I understand your plight.Yeast infection is common in women and it can recur if incompletely treated or if your immunity is compromised either due to diseases or other infections. Are you on treatment for Hepatitis C and have you been screened for HIV?What was the treatment you took for the yeast infection? Are you any medicines now? If you are please let me know all the medicines - prescription and OTC.I would be happy to give my opinion after getting the information required.Take careDr. Noble Zachariah"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain and yeast infection"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I woke up and my face was swollen and my left eye brow bone was really sore and I noticed a small purple dot on my eyelid, my dr thought it might be because of my high blood pressure, which was 157/106 today, never mind, I'm not paying a quack online that probably isn't a real doctor anyways! How misleading! Doctor: Hello!Thank you for asking on HCM!I carefully read your question and would explain that your symptoms could be related to sinus infection. Your blood pressure values are above the normal ranges too, but they don't seem to be the cause of your symptoms. I recommend consulting with your GP for a careful physical examination, a sinus X ray study and some blood lab tests (complete blood count, PCR, sedimentation rate, blood electrolytes). Antibiotics may be needed. Hope to have been helpful!Greetings!Dr. Ilirips.: You do not have to pay for this answer as it is a free answer. We are real doctors, working in real hospitals, but we can work online too, being helpul to a lot of patients at any time of the day, due to this wonderful site."
},
{
"from": "gpt",
"value": "Target: How to control high BP?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: good morning sir nice to being with you i had seen you tv shows very good answers sir iam 23 year old i often m self sex or masturbute daily 2 times a day i feel my pennis are bieng week for few months and whom shall i to see or what medicine do you suggest me sir Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.1. Masturbation is a safe practice but it should be done within limit.2. The average masturbation is 2 to 3 times a week and it should never be done more than once daily.3. If you are masturbating 2 times every day then it is to be controlled and probably that is the reason for your penis weakness.4. Masturbation should be done slowly and gently and doing it roughly will damage the soft tissues of penis.5. Right now you do not require any medicine and you should try and stop getting masturbation thoughts regularly.6. Please meet your friends, do study and focus your mind in work to avoid sexual thoughts.7. Try and avoid pornography and when you get sexual thoughts then read a book and listen to music or go for walks. Do not touch your penis except during urination. Please do not worry. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Vivek Chail"
},
{
"from": "gpt",
"value": "Target: Which medicine to be used as my penis is weak?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My age is 21 and i am feeling pains in my nerves what are the precautions to be taken and what might be the reason for this.? Doctor: welcome to healthcaremagic get a check up rule out diabetes have regular exercises and healthy balanced diets nutritional deficiencies may give rise to nerve pain so,be healthy"
},
{
"from": "gpt",
"value": "Target: What are the precautions to be taken for nerve pains?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband had a cancer tumor in his esophagus. The doctor surgically removed it a year ago May 8.Since the surgery, my husband had heaves (no vomiting) and complains of his stomach hurting (nausea likesymptoms). A friend suggested Compazine. In reading about it, I do not think this is a good idea.Please give me your professional opinion on what you think would be causing his symptoms and whatyou would suggest. He has been dilated 3 times and it helps for awhile. Thank-youe-address is: YYYY@YYYY Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In this case its better to consult his doctor,because hi may need to be dilated again. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes stomach ache and nausea after removal of a cancereous tumor in the esophagus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Just within the past 4 days I started to feel a hard lump. Its located in the rear of my mouth inn the gum, just below a back molar. center area. I have a rabbit of brushing my teeth really hard. It seems maybe that caused it. Anyhow it s sore but definitely a bone like lump that just seemed like it popped up over night. Doctor: Thanks for your query, I have gone through your query.The hard lump could be a periapical abscess or a cyst secondary to tooth infection.Consult a oral physician and get a radiograph done to rule out these things. If it is a periapical cyst and granuloma then get the tooth treated with RCT or extraction of the tooth. Mean while you can take a course of antibiotics like amoxicillin 500mg and metronidazole 400mg tid for 5 days (if you are not allergic). Do saline gargling. I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for lump in gum at the rear of mouth"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: About a year ago i start eating extra food because I thought i was hungry. I start eating proteinbars and could not stop eating them. I lost my husband about 3 years ago. I moved to florida andwent to the doctors and he put me on hormone meds. It did not help me. I am 54 years old. Now i amhaving back pain which seem to make it worst Doctor: Hello, Thanks for your query.I suggest you to follow the below mentioned measures to reduce your back pain-- Usually 1-2 days of bed rest will calm severe back pain. Do not stay off your feet for longer, though.- Avoid lifting weights as it imparts more strain on your back- Change your daily activities so that you avoid movements that can cause further pain, especially bending forward and lifting as it will worsen the intervertebral disc problems. if you want to bend forwards, do it with your hips and knees flexed.- Use a lumbosacral back support to stabilize your spinal muscles and to provide support for your spinal column.- After the initial pain has subsided, remedial exercises to strengthen the spine are very important to restore normal spinal movements and muscle strength. The main aim of exercise is to encourage mobility, reduce muscle spasm, prevent further deterioration in the muscles and speed recovery.- You should maintain an optimum body weight to decrease the strain on your vertebral column causing more degeneration and arthritic changes.- At times, spinal steroid injections and Facet blocks will help in alleviating the lower back pain.- Radiofrequency ablation (RFA) is another procedure which is used to reduce pain. RFA can be used to help patients with chronic (long-lasting) low-back and neck pain and pain related to the degeneration of joints from arthritis. The degree of pain relief varies, depending on the cause and location of the pain. Pain relief from RFA can last from six to 12 months and in some cases, relief can last for years. More than 70% of patients treated with RFA experience pain relief. I personally feel that your symptoms will improve with the above measures and you can go well with all your regular activities of daily living.I do hope that you have found something helpful and I will be glad to answer any further query.Take care"
},
{
"from": "gpt",
"value": "Target: Should i be concerned as i am having back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your q. Hi. My baby boy will be two months on the 19th and he s Been having problems stooling for the past 2 days and when I touch his stomach he cries. What can I do to help him stool? Doctor: Hi, This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to drink milk will gulp in the air too. Unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in the air too. You will be more convinced. Usually, I don't advice any medicines for this as they give only temporary relief. The two best ways to relieve this distress is - 1. Do not put the baby in lying position after feeding till the baby burps out the swallowed air. 2. If still crying - put the baby in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved. Babies of this age may pass motion once in 10 days or 10 times a day also. As long as the baby is active and feeding well, don't worry. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for hard stool movement in infants"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I was diagnosed with womb cancer in January had surgery ie total hysterectomy including removal of my lymphnodes. At my follow up appointment Surgeon said he believed that they had caught all cancer especially as he had thought it had spread to the cervix but that was not the case, He then said that after the removal of the Lymphnodes they spotted a tiny cell in one. He said that he didn't see why I couldn't go on and live a normal life. He then said a I should be treated with some Radiotherapy. I then saw the oncologist and she said I could be treated with Chemotherapy.When she left the room I spoke to the cancer nurse who was present and said I thought that I would be treated with Radiotherapy and she said I could be Chemotherapy was another option. I'm concerned because if cancer is in one lymphnode it may have spread and would chemotherapy be better. I start Radiotherapy tomorrow . Doctor: Hi,Thanks for writing in.It appears that you have got uterus cancer and are under treatment for it. Surgery was the primary treatment for you and subsequently there was a need for further treatment ue to a single lymphnode showing presence of cancer cells.While chemotherapy and radiation therapy are both given for this cancer, it depends on the disease involvement and stage at detection which decides the treatment protocol. In your case, it is possible that your doctor is giving radiotherapy so that any other lymphnode or disease spread can be totally treated and then it can be followed up by chemotherapy if required. By giving radiotherapy first, the tumor will shrink and then the need for chemotherapy will be assessed. As chemotherapy is toxic, your doctor wants to use later if needed. Please do not worry."
},
{
"from": "gpt",
"value": "Target: What is the treatment for womb cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear sir, I had an instrumented anterior cervical discectomy & fusion of c3/4, c4/5 back in 2004. Examination Findings: Plain x-rays and the MRI scan of the cervical spine show an large osteophytic disc prolapse at C3/4 causing cord compression & associated with signal change within the cord. There is reversal of lordosis at this level with some CSF present behind the cord. At C4/5 there is also an osteohytic disc prolapse causing canal stenosis and complete vaffacement bof the subarachnoid space but no compression as such. There are also degenerative changes at C5/6 but not at C6/7. In extension there are 2-3mm of retro-listhesis at C3/4 & C4/5 presumably due to ligamentous laxity associated with a mark loss of disc height at those two levels. I was advised to under go surgery to decompress the canal & remove the threat to my spinal cord. It was explained to me that the main aim of this procedure is to prevent further deficits & that improvement of the current deficits cannot be guaranteed. The operation was accomplished by an anterior approach, but the sergion did not think that i was a particularly good candidate for cervical disc replacement in view of the marked loss of disc height and mild instability in extension. I was given a C3/4 and C4/5 anterior cervical discectomy and fusion using iliac crest bone graft and an anterior cervical plate. I was told the risks of this procedure, including the small risk of injury to the spinal cord, & the risk of pseudarthrosis, infection, recurrent laryngeal nerve injury, carotid and oesophagus injury & cardio-pulmonary complications. It was discussed that there is a risk of developing further degenerative changes at C5/6 level. Cervical disc replacement could perhaps be considered at this level if surgery is required in the future. Prognosis: The aim of this procedure is to prevent the development of further neurological deficit. There maybe some improvement in my current symptoms is possible, but a complete recovery is very unlikely. I had the procedure done at the end of 2004.. Things haven t been too bad with continual pain relief, but have always have had continual server pins and needles in my hands legs & feet. With continual server neck pain & continual head pain. The pain I am now getting goes from my neck down to my lower back and with me 24/7. I am unable to walk any distance with out server pain going down my legs, its getting Very stressful as I cant get the A.C.C to refer me to a specialist to see if there is something that needs to be done to make my life liveable. They say that my condition has not deteriated since my operation. I know in with the amount of pain and lack of sleep i get, my condition is very bad that just a simple walk to the local shops is so painful bringing me to tears.. Putting a long story \\, what does one have to do to get further assistance from our so called medical a.c.c. I desperatley need expert help from a specialist but can t seem to get it.. As i said to my A.c.c case manager when he called the other day saying that they will be rejecting my application for there support/payments that I did once get.. I might as well be in a wooden box & won t have to suffer 24hrs a day seven days a week, year after year after year. Hope you may be able to put me in the right dirrection, as this medical stuff is over my head Regards Ian Rosevear... I m on a very limited income so maybe able to pay any free at the present time... but I do need help and assistance asap Doctor: helloif surgery at c3-4-5 was done with fusion and osteohyte removed then there is little chance for pain in lower legs, i may suggest for checkup for lumbar spine with a simple x ray for any osteoarthritic changes down there t o cause low back pain and radiation to legs.If c6-7 are degenerated, then it cannot produce pain in lower limbs as they supply neurologically to neck, upto shoulder and base of neck or upper back only.Your continual pain in neck upper back may be residual from cervical lesions.In all probability you may not need further surgery of neck or even lower back spine, as both these areas can be maintained with medicines, brace or collar and exercises and physical therapy which wont cost much, just a consultation and learning few exercises, buying brace for back and neck would suffice.But a consultation with an orthopedic doctor is a must to iinstitute these measures, neither long leave may be required for this.best wishes"
},
{
"from": "gpt",
"value": "Target: What causes cervical disc prolapse or cervical osteopath?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 5 9 , 50 years old, good health EXCEPT past history of Chron s Dx. On NO medications currently. I have 3 inch circumference HARD nodule that has gotten this large since Nov 2013. It is in the upper right pubic hair triangle region on the left side. WHAT could this be? No health insurance yet due to impending divorce and awaiting financials from husband to provide to healthcare.gov. IAM WORRIED- please help. Thanks Doctor: Hi.5 months old swelling.If hard , not mobile - does not reduce or increase, relatively tender, changes no position= it can be a lymph node. You can undergo at least ultrasonography to confirm .Another possibility is of a hernia. If the omentum has come and stuck. Usually hernia have impulse- movement on coughing , are reducible, nontender."
},
{
"from": "gpt",
"value": "Target: What could small, hard, growing nodule in upper right area of groin indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have CRPS of the upper right extremity. I have red mottling on both arms and legs. Now there is swelling in both of my calves, ankles, and feet. On my ankles and feet there is blue to purple discoloration. I take nine medications and I don't know if they're affecting my kidney function or what. I'm quite nervous about the whole issue. Do you have any idea what might be causing the edema and mottling? Doctor: Hi and welcome to HCM. Thank you for your query.It can be kidney or liver disease as well as heart disease. YOu need to check your protein blood levels, liver function tests and kidney tests. Ankles swelling may also be caused by venous insufficieny and skin chages can be caused by hyposattic dermatitis. So till you do these tests try to stand as less as you can, keep your legs elevated, use some elastic stockings and see will there be improvements. Wish you good health."
},
{
"from": "gpt",
"value": "Target: Reddish mottling on the arms and legs. Have CRPS of the right extremity. Swelling in the ankle. Kidney damage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,My wife is suffering from cold and cough from last 10-15 days. Actually its dry cough. We visited one doctor and he prescribed Bro-Zedex, Taxim o and Okacet-L. They also asked us form some tests like X Ray, RBC count. My wife got suffered from TB 2 years back. Not sure whether to go ahead with tests or not because 1 years back there was the same scenario and we did all the test and nothing came up. Please help.Thanks,Rohit Doctor: Hi! your doc has prescribed you the first line of treatment. and the tests need to be done to rule out TB .so go ahead and do the tests , they are in your interest."
},
{
"from": "gpt",
"value": "Target: Having dry cough. On Bro-Zedex, Taxim o. Medical history of TB 2. Should X Ray, RBC count be done?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, my 5 month old baby has a rash on the lower right side of her cheek and behind her right ear. She keeps pulling at her ear. Is it an allergic reacting to a solid food (she had some butternut squash for dinner) or is it an ear infection? Or is it something else entirely? Doctor: HI...I have just read through your query. The possibilities could be - 1. Eczema2. Food allergy3. Skin and soft tissue infection there...but unlikely as you have not mentioned about any fever.I Suggest you get the consultation of your pediatrician regarding this as - Skin conditions are best diagnosed only after seeing directly.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes rashes on lower right side of cheek in infants?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Had first attempt at home ai yesterday, today feeling bloated and just weird, was wondering if anyone else had the same feeling? Doctor: Hi,thanks for query.You might be having some infection or just anxiety.I do not know what will the result of your experment,but for this complaints there is no reason to worry.Take light diet,more of liquids and proper rest.You should be fine in a day or two.In case of abdominal pain along with some dischage per vaginum,you need to see a doctor. Wishing you good health."
},
{
"from": "gpt",
"value": "Target: What is home artificial insemination ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doctor, i am from delhi, india, my son who is 11 years old was chased by a stray dog yesterday and clawed, though there is no blood marks on the spot but he has got redness in the area which is very minimal. Please let me know if we need anti rabies vaccination for this, please note again he was not bitten but clawed. Doctor: Hello,Welcome to HCM,Dogs are known reservoir of rabies virus and can transmit to human beings by biting. Rabies is 100% fatal but it is 100% preventable by proper and adequate treatment.As there was no bleeding from the bite site, according WHO categorization it is categorized into Cat II. So cat II bite should receive following treatment.1.Wash the wound thoroughly with soap and water.2.Active immunization with anti rabies vaccine on days 0,3,7,14 and 28.3.Inj TT, 0.5 ml, IM4.A course of Antibiotics like Tab Augmentin, twice daily for 5 days.Thank you."
},
{
"from": "gpt",
"value": "Target: Suggest remedies for scratch mark caused by a stray dog"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 12 year old daughter has a lump on her right elbow (interior). Ortho said it could very well be a lipoma, but it's kind of hard. It's painful, but I think it's because it's almost in the crease of the elbow. They are scheduling an MRI with contrast. Is that normal? Doctor: Hi. If the Ortho has been thinking f a lipoma , you would have simply requested for its excision and histological examination. Anyways , doing an MRI is a very good option as one would get a diagnosis before surgery.Painful lump at such an important spot ... active treatment is needed ."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for hard painful lump on elbow"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have a 3.5years old boy. This morning when he woke up, he had a little patch of red on the back of his neck and behind his ear. I thought he may have been bit by a mosquito but within the hour, he had an extremely itching red rash in between his legs and on the band of his pants. Later we discovered it was also around his ankles. We thought it may have been a new fabric softner. We changed his clothes and wiped him down. As the day has progressed, so has his rash. It is now going up his trunk and becoming even more red. What should I do given his age and the progression on this rash? Doctor: I suggest you immediately take him to a dermatologist or if they are not available, take him to emergency department in nearby hospital.He is probably having acute urticaria.well there are lot of other causes which can cause a rash over the body.It is very importantthat he be seen by a doctor who would be able to take a complete history and do the necessary investigations so as to treat him appropriately. Meanwhile if you have antihistaminic syrup at home you can give him the recommended dose and put cold compress or calamine lotion over the rash. Hope it helps"
},
{
"from": "gpt",
"value": "Target: Had a little patch of red on the back neck. Its spreading all over and becoming more dark red. What should I do if the progression on this rash continues ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is 12 years old and got hit by a baseball in the chest tonight. He was pitching and the ball was hit strait at his chest. He was pretty shook up and the baseball left a welt but he says he's not having problems breathing. Is there anything else I should watch for? If something was going to happen wouldn't it have happened right away? You just hear so much about kids going into cardiac arrest over things like this. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Your son is having blunt chest trauma. Musculoskeletal injury is the most common injury after such trauma. Some serious complications like rib fracture, pulmonary contusion, pneumothorax etc can also occur after blunt chest trauma. But no need to worry for such major complications because he is not having breathlessness. You should watch for coughing, worsening chest pain, breathlessness, redness and swelling on affected areas etc. If any of these is seen then immediately consult doctor and get done chest x ray. Otherwise no need to worry much. He will be alright. And don't worry about cardiac arrest. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks."
},
{
"from": "gpt",
"value": "Target: Can injury to chest of a child be harmful?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My right testicle seems to have an area where the skin is kind of hard. Parallel to the right testicle, on my leg, there has been a round burn which is showing meat. This burn seems so have cleaner skin around it. After time to time, my underwear seems to have a brown pungent smelling fluid which I think is wither coming from my testicle or the bruise . More likely, the testicle. And yes, there is pain cause by the bruise and noticeable pain caused by the scrotum when I walk. Another thing is that this all happened suddenly, when i was walking home. I noticed that my right groin area started hurting and it felt as if a rope were being rubbed back and forth in that area. I also want to know is if it is being caused by some type of fungus? Bacteria? Virus? If weather conditions are important, then it is rainy here. This has never happened to me before. Thank you so much! Doctor: Hello,Thanks for the consult...Brief answer,It might be due to fungal infectionDetailed explanation,1. I read your query. I am happy to help you. You said that you have hard skin bruise and pain near the right testicle2. This might be due to fungal infection. 3. Use Ointment cotrimazole for local application and tab.fluconazole 120mg twice a day for 5 days4. The test that you have to do is the collection of bruise at the site of infection and send it to laboratory for cultureHope this information helps..."
},
{
"from": "gpt",
"value": "Target: Hard skin near testicles, wound burn, brown discharge, bruise, friction causes pain. Treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI I am caretaker for my 85 yr old mother who has Alzheimers and Nueropothy in her feet and legs, She sleeps a lot and eats very little. She has discomfort on her heiny due to a bedsore. I had it totally cleared up except the black and blue mark. Today it looks like it was never cleared up. Raw sores, looks like blisters that have popped. What do I put on it to heal it before it gets infected? Thank you! Doctor: Hi, Use any sterile dressing and use an air mattress in the bed. Keep turning her regularly every 2 hours. Keep the wound dry and clean. These are precautions required to prevent infection. No particular medicine will help. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel, Orthopedic Surgeon"
},
{
"from": "gpt",
"value": "Target: What causes dark discolouration and blisters on the legs while treating neuropathy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my father is living in india,he is 60 year old,he is hypertensive controlled with atenolol 50mg & amlodipine 2.5mg,he also take fibrovas 3 times in a week,she had fatty liver from atleast 15 years,he now dsnt drink from atleast 3 years,now 7 days earlier he suffered from dengue & getting treatment for it he is taking paracetamol 500mg b.i.d.,vit.c 500mg b.i.d.,cefoxime &oflox combination o.d. from two days,for the previous 3 days i dnt knw about his prescription,we jus t got his blood test results,blood urea & sr.billiruin are in normal range,platelets are 170000,but his sgot is 97 &sgpt is 57,actually now i told him not to take paracetamol unless u have fever,actually i m worrying lot about him,is this acute liver damage will subside soon,can you please tell me what medicine & precautions he should take,or we need to go for some other blood tests too ?i will be very thankful to you. Doctor: thank you for posting query at HCM.yes, acute liver injury is reversible.increase in the level of liver enzymes(AST,ALT) reflect an INJURY to the Liver. medically, the condition is know as \"Hepatitis\". it maybe caused by:1. Virus (A, B, C, D, E) 2. Alcohol 3. drug induced (medication)4. Gall bladder or common bile duct pathology 5.\"Fat excess\" most likely , its due to drug induced.advice:- continue abstinence from Alcohol - LOW fat diet should be followed- NO red meat- vegetables should be ingested daily- Moreover, rest more- use lemon juice (lemonade) once in a day-\"recheck liver enzymes after 4 to 6 weeks\".if liver enzymes still high, You may visit hepatologist as soon as possible.if any further questions, feel free to ask.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for acute liver damage"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have had a severe toothache for about 3 weeks. I know i have a severe infection because the pain is so intense. The problem is i did not have the time to change my dental insurance so im stuck with a plan that most hospitald wont take. Dental care in New York are very expensive and i really dont want to pwe anybody for years to come. But this pain is so severe at times that i think my hea will explodde. I get the worst headaches and i cannot eat anything without fear that i will cause my mouth to hurt. While at work i take at least 7 or eight ibuprofen for the pain. And at home about the same or more so that i can sleep. My ear hurts all the time, and sometimes feels clogged. My face burns sometimes, tingles and even feels sore and numb when the pain is at its worst. For the last two or three days not even an ibuprofen seems to be helping. After about 10 minutes the pain returns. It builds up like a contraction during childbirth and then at it its worse when i feel to faint it subsides. I cant take this anymore and now its the weekend. I need to go to an emergency dentist to get some teeth puled, if not tonight then definetly Saturday morning. What can i do to help the pain, will an emergency dentist in a local hospital see me even if they dont take my coverage? Please help feels as if i will die. Doctor: helloo..read thru ur query..i must say that it an be a periapical abscess(infection beneath the root).u have to take antibiotics (amoxicillin+metronidazole) for 5 days then infection will subside so will the pain..taking ibuprufen alone cant do much reduction as it can just be effective for sometime...after that if u want u can meet an endodontist and see if it can be filled(rootcanal treatment+crown) and saved..saving a tooth is most important than plucking it away..but as ur having problem with insurance yes u can meet a dentist and get it extracted....its better to take antibiotics and reduce infection and going to dentist as with infection dentist wont be able to extract on same day as it may cause more pain to u..do nice salt water gargle as many times as possible..try not to bite with that side..and meet ur dentist..be cool and happy..it reduces pain...peaceful mind can be best medicine..hope ur benefitted something from this reply..have a healthy day!!"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe toothache due to infection"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello I hit the top of my forearm on a door handle with quite some force last thursday. I still have pain in my arm, a dull ache in my wrist and elbow. I have quite bad bruising underneath my arm all around me elbow travelling to my upper arm! pretty much bruised everywhere apart from the sght of impact. Is ths just a bad knock? Doctor: Hi, As of now, you can use analgesics/anti-inflammatory combination like aceclofenac/serratiopeptidase for symptomatic relief. Most likely cause is a carpal tunnel syndrome.Consult an orthopedic and plan for an MRI scan to make a diagnosis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain my forearm, wrist and elbow"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I AM 32 YRS OLD /MALE,HEIGHT-5.6,WEIGHT-75KG HAVING STONE IN MY KIDNEY OF AROUND 1 CM IN THE RIGHT MID URETER AT L4 LEVEL AS PER CT UROGRPHY LAST REPORT ONE MONTH BACK .DOCTORS HERE SUGGESTED ME FOR LITHOSPY OPERATION .NOW WHAT TO DO .I WANT YOUR OPINION Doctor: hello welcome to hcm yes your doctor recommendation is gud as it depend upon the type of calculus ,that it can be dissolved by medicine or not if at all medicine cant help out we had to go for opertaion, take care payal"
},
{
"from": "gpt",
"value": "Target: Should I undergo a Lithotripsy operation for kidney stone ?"
}
]
|
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